Declue, Patricia

Declue, Patricia is an individual health care provider with primary practice located at 1460 Main St , Lander WY 82520-2657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Declue, Patricia can be contacted via phone (307) 332-2223.

Contact Information

Primary practice address
1460 Main St Lander WY 82520-2657
Phone: (307) 332-2223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8949.317 Wyoming

Profile Details

NPI number 1467499244
LBN Legal business name Declue, Patricia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467499244 NPPES
Wyoming MEDICAID 120173500

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